Oral disease processes are insidious and progressive, often remaining invisible to the layperson until the end stage. Self-diagnosis is often delayed until patients notice irreversible signs - frank cavitation as caries undermines marginal ridges and advances inexorably towards vulnerable pulps, progressive tooth mobility or gingival recession with declining periodontal health and functio laesa in the case of expanding oral cavity neoplasms that may have begun as subtle precursor lesions. If evading the watchful eye of a supervising dental practitioner, ailments of the intraoral hard and soft tissues can easily go unchecked until patients experience advanced disease, at which point it becomes increasingly invasive and expensive to manage. Dental professionals have the capacity to identify disease risk factors and to detect signs of disease at the pre-symptomatic stage, at which point it is possible to arrest and reverse disease progression by providing tailored lifestyle counselling to encourage health-promoting behaviours. This article will delve into current barriers to our transition away from the reactive modus operandi of dental healthcare towards a more medical, person-centred model of caries management to break the restorative death spiral and curb rates of edentulism in our community
